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护理 - 康复的核心要素。

Nursing - a core element of rehabilitation.

机构信息

Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.

The Global Rehabilitation Alliance, Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.

出版信息

Int Nurs Rev. 2022 Mar;69(1):13-19. doi: 10.1111/inr.12661. Epub 2021 Jan 28.

Abstract

AIM

2020 was been acknowledged by the World Health Organization as the International Year of the Nurse and the Midwife. On this occasion, the Global Rehabilitation Alliance and the International Council of Nurse would like to conceptually reflect the role of nurses in rehabilitation.

BACKGROUND

Rehabilitation and nursing are strictly ingrained. Rehabilitation aims at improving, reaching and maintaining optimal functioning of persons with disability and persons with health conditions experiencing disability. Nursing is defined as use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life. Nursing has a crucial role in all phases of rehabilitation care (acute, post-acute and long-term rehabilitation). Nurses deliver rehabilitation in many settings, in nursing homes and community-based rehabilitation. The main principle is not to deliver care for the patient but deliver care with the patient. This includes explaining, demonstrating and practising with the goal to help the patient to (re-)gain independence.

DISCUSSION

Nurses play an important role in delivering rehabilitation and are involved in all aspects of the multidimensional rehabilitation process. One of the important points is that in most settings, nurses are the professionals with a prolonged relationship with patients and families, and may have the best insight into the patients' personal and contextual factors with regard to the rehabilitation process.

CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: Strengthening nursing in rehabilitation is a vital factor to deliver high-quality rehabilitation and to achieve optimum outcomes. For this reason, we urge all relevant stakeholders at governmental and rehabilitation service provider levels to work towards these goals.

摘要

目的

2020 年被世界卫生组织确认为国际护士和助产士年。借此机会,全球康复联盟和国际护士理事会希望从概念上反思护士在康复中的作用。

背景

康复和护理是紧密结合的。康复旨在改善、达到和维持残疾人和有健康问题的残疾人的最佳功能。护理被定义为在提供护理时运用临床判断,以使人们能够改善、维持或恢复健康,应对健康问题,并实现尽可能好的生活质量。护理在康复护理的所有阶段(急性、后期康复和长期康复)都起着至关重要的作用。护士在许多环境中提供康复服务,包括疗养院和社区康复。主要原则不是为病人提供护理,而是与病人一起提供护理。这包括解释、演示和练习,目的是帮助病人(重新)获得独立。

讨论

护士在提供康复服务方面发挥着重要作用,并参与康复多维过程的所有方面。其中一个重要的观点是,在大多数环境中,护士是与病人和家属关系时间最长的专业人员,可能最了解病人在康复过程中的个人和背景因素。

结论和对护理及/或卫生政策的影响:加强康复护理是提供高质量康复和实现最佳效果的关键因素。为此,我们敦促政府和康复服务提供者各级所有相关利益攸关方努力实现这些目标。

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